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      • KCI등재후보

        복지권으로서 교육권 보장을 위한 『장애인 등에 대한 특수교육법』

        황정보,이선재,안병주,강경희,김청아 국립특수교육원 2007 특수교육연구 Vol.14 No.2

        결핍에서 오는 필요의 개념은 장애인에게 복지권으로서 교육받을 권리를 가장 잘 말해주고 있다. 장애인은 신체적·인지적 손상으로 발생하는 기본적인 생존적 필요의 충족뿐만 아니라 동시에 교육기회 균등이나 개인차의 고려 등을 통해 무지로부터 벗어날 수 있는 보편적 필요가 충족되어야 함을 논의하였다. 장애인들에게 이러한 결핍에 따른 필요를 충족시켜 줄 이론적 근거가 롤즈(J. Rawls)의 정의론이라 할 수 있다. 정의론의 '차등의 원칙'에 따르면, 교육에 있어 비장애인과 장애인 중 먼저 최소 수혜자인 장애인의 교육복지를 우선하여 극대화할 필요성을 제시함으로써, 그들의 교육권 보장을 위한 이론적 근거에 대한 정당화를 논의하였다. 기존의 특수교육진흥법은 '국가가 교육할 권리'를 가지는 국가 주도적 교육이었다면, 「장애인 등에 대한 특수교육법」 제정은 수년간 장애인의 교육권 확보를 위해 애쓴 장애인 교육 주체들이 노력 끝에 '교육받을 권리'를 찾게 된 의미 있는 결실로 평가되어 진다. The concept of need which comes from lack represents well the right to education as welfare rights to individuals with disabilities. It is necessary to meet the universal need of individuals with disabilities such as an equal opportunity for education and the consideration for individual difference as well as their substantial need. The rationale which may satisfy the need associated with the lack can be J. Rawls's a Theory of Justice. The difference principle by Rawls presents the need of the educational welfare of individuals with disabilities(the least advantaged) to take precedence over that of the non-disabled and be maximized, it is considered that he created the rationale that makes secure their right to education. While established Special Education Promotion Law was national-driven education that state had to the education right, the enactment of 'the Special Education Law for the Individuals with Disabilities, etc.' can be a significant fruit which takes back 'the right to education by citizens' by the educational subjects of the individuals with disability who have taken pains to secure their right to education for years.

      • GIS를 이용한 농촌용수구역 정보 검색시스템 개발

        고보성,김선주,이광야 한국농업정보과학회 2003 농업정보과학 Vol.4 No.1

        The main issues on the demand and supply of water in rural areas are optimization of the water resources development, provision of infrastructure in agriculture by appropriate utilization and conservation, and conservation of rural environment. However, the characteristics in using rural water was not properly considered in the management of rural water, since rural water has not been managed by the watershed unit but by the administrative unit due to the convenience. The purpose of this study is to delineate rural water districts to reflect property of rural water and to build spatial database for analysis of using rural water, to develop a prototype GIS system for query and to evaluate the applicability of the system with applying it to a tested site. This system also aims to provide various analyses based on a standardized common watershed map, which was generated and harmonized by different ministries of the government.

      • 젊은 성인에서 흡연에 의한 상완동맥 내피기능의 부전에 관한 연구

        이상철,권영주,방덕원,이선해,이보영,김지욱,김영훈,온영근,현민수,김성구 순천향의학연구소 2002 Journal of Soonchunhyang Medical Science Vol.8 No.1

        Background and Objectives : Cigarette smoking is a major factor and the most modifiable risk factor for atherosclerosis. Endothelial dysfunction is an early event in atherosclerosis, before the structural change of the systemic arteries. We hypothesized that endothelial dysfunction might be present in the systemic arteries of young adult smokers and that this might be dose-dependent phenomenon. Therefore, we try to certify that smoking is associated with endothelial dysfunction in healthy young adults without other risk factor of atherosclerosis. Subjects and Methods : we studied noninvasively 29 subjects aged 3 to 4 decades without other risk factor of atherosclerosis, they were composed of the two groups, current smokers(n=15) and nonsmokers(n=14). Smoking history varied from 3 to 20 pack years. Using high-resolution ultrasound, vessel diameter and mean flow rate were measured at rest, during reactive hyperemia(with flow-mediated endothelium-dependent dilation), and after sublingual nitroglycerin(NG-induced endothelium-independent vasodilation). Result : Flow mediated endothelium dependent dilation was observed in the control subjects (9.4±3.44%) but was impaired in the smokers(5.8±2.51%)(p=0.004). NG-induced endothelium independent dilation is no difference in all subjects. Conclusion : Cigarette smoking is associated with endothelial dysfunction in healthy young adults.

      • 혈액에서 분리된 세균의 항생제감수성 : Vitek System을 이용한 최소억제농도측정 Minimal Inhibitory Concentration Determined by Vitek System

        김의종,김선주,신보문,박명희,조한익,김상인 대한화학요법학회 1988 대한화학요법학회지 Vol.6 No.1

        Minimal inhibitory concentrations of total 148 strains isolated from blood culture at Seoul National University Hospital were determined by Vitek System. 90% MIC of gram-negative bacteria against amikacin was 2-16㎍/㎖, and those against beta-lactams was > 16㎍/㎖ in general, Except Salmonella spp,. 90% MIC against chloramphenicol and tetracycline was >8㎍/㎖. Range of 90% MIC against vancomycin was ≤.5-4㎍/㎖ in case of garm-positive bacteria, except Enterococcus spp. which showed 90% MIC as >16㎍/㎖. Against ampicillin, 90% MIC of Staphylococcus spp. was >16㎍/㎖, but those of Streptococcus spp. was ≤.25-2㎍/㎖. Streptococcus viridans group showed 90%MIC against penicillin as ≤.03㎍/㎖. Susceptibility of gram-negative bacteria was generally 98% against amikacin, and those of gram-positive bacteria was 80% against vancomycin. 34% of Staphylococcus spp. was resistant of oxacillin. These results may be useful for the primary selection and the dosage determination of antibiotics in the treatment of patients with bacteremia.

      • RE-11 : Effects of laser-assisted multiple zona thinning in three areas on pregnancy outcome in IVF-ET

        ( Bo Sun Joo ),( Sea Hee Park ),( Sung Eun Moon ),( Hyun Sik Youm ),( Ja Seong Koo ),( Hwa Sook Moon ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.99 No.-

        The indications of assisted hatching (AH) involve female`s old age, frozen thawed embryos, recurrent IVF failure, or embryos with thick zona pellucida. However, the effect of assisted hatching (AH) on day 2 or 3 embryos is still controversial. The main reason is the site and method of AH. Therefore, this study examined the effect of laser-assisted multiple zona thinning in three areas (LAMZT) on the pregnancy outcome in human IVF-ET. Of 72 consecutive fresh cycles and 26 frozen-thawed embryo transfer cycles (FT) (March 2013 to July 2013), 55 cycles in fresh cycle and 15 cycles in FT cycle declined to perform AH and they were defined as control group, 17 cycles in fresh cycle and 11 cycles in FT cycle had LAMZT on day 2 or day 3 embryos. LAMZT was performed with the Saturn Active laser system (RI Inc.) on inverted microscope by multiple zona-thinning in three areas of zona pellucida at a 120° interval. In the fresh cycle, the pregnancy rate had no significant difference in AH group (17.6%) and the control group (25.5%) regardless of the AH indications of older patients or previous recurrent failure (≥3). However, in FT cycle, the pregnancy rate was significantly higher in the AH group (45.5%) compared to the control group (25.0%) (p<0.05). This result shows that our LAMZT method is more effective in the frozen-thawed embryos rather than older patients or previous recurrent failure patients in fresh cycle.

      • The Effect of Nitric Oxide on Sperm Cell Function and Embryo Development

        JOO, BO SUN,PARK, SEA HEE,PARK, SUE JIN,KANG, HO SUNG,MOON, HWA SOOK,KIM, HAN DO 부산대학교 유전공학연구소 2000 분자생물학 연구보 Vol.16 No.-

        PROBLEM: Nitric oxide (NO) has been known to have multifunctional roles both in the male and female reproductive systems. We investigated the effects of sodium nitroprusside (SNP)-dependent NO release on sperm cell function and embryo development to elucidate the mechanisms of action of NO. METHOD OF STUDY: Semen samples from 20 healthy men were processed by the swim-up method. Sperm motility, hyperactivation, and acrosome reaction were examined following incubation with various concentrations of SNP. The concentration of 10 nM to 1mM was used for sperm motility and hyteractivation measurement and 1 μM to 1 mM for examining gthe effect on acrosome reaction. Embryo development to blastocyst stage were assessed using 100 nM to 1 mM of SNP aded before transferring the mouse embryos into the culture medium. Finally, to understand the mechanism of action of NO, changes in embryo development were examined after zyotes were treated with various concentrations ranging up to 1 mM of 8-bromo-cGMP an analog of cGMP. RESULTS: Both sperm motility and hyperactivation were significantly reduced at 100 μM to 1 mM concentrations of SNP after 6 hr of incubation. After 24 hr of incubation, they were greatly decreased with all, except the 10 nM concentration of SNP. The percentage of acrosomal-reacted spermatozoa was increased with the increasing concentration of SNP following incubation with 10 μM to 1 mM of SNP. Embryo development was arrested since the two-cell embryonic stage with all except the 100 nM concentration of SNP, and inhibited by 200 μM of SNP regardless of SNP treatment stage. However, embryo development was not influenced by 8-bromo-cGMP. CONCLUSIONS: We concluded that SNP-inhibited sperm cell function and embryo development in a dose and time-dependent manner, and the inhibitory effect on embryo development, may not be a stage-specific treatment mediated via a cGMP-independent pathway. This result suggests that NO may be enough to affect the fecundity potential in vivo.

      • KCI등재

        대퇴 과간 절흔의 형성 부전과 전신적 인대 이완성을 동반한 소아의 습관성 슬개골 탈구에서 “Four-in One” 술식

        주선영(Sun Young Joo),박건보(Kun Bo Park),김보람(Bo Ram Kim),박희완(Hui Wan Park),김현우(Hyun Woo Kim) 대한정형외과학회 2007 대한정형외과학회지 Vol.42 No.1

        목적: 하지의 부정정렬이나 슬개골 고위증이 없고 대되 과간 절흔의 형성 부전과 전신적 인대 이완성이 동반된 소아에서의 습관성 슬개골 탈구에 대해 “Four-in-One" 술식을 시행한 후 치료 결과를 알아보고자 하였다. 대상 및 방법: 4명의 환아,5예의 슬관절을 대상으로 하였으며 수술 시 평균 연령은 5.9세였고 술 후 평균 추시 기간은 41.6개월이었다. 술 후 신체검사와 방사선학적 검사 빛 Kujala가 고안한 평가법에 의거하여 임상적 결과를 평가하였다. 결과: 추시 기간 동안 전 예에서 탈구가 재발한 경우는 없었으며 슬관절 동통이나 관절운동의 제한 및 보행 장애도 없었다. Kujala 점수는 평균 96.8점이었으며,2예에서 창상 치유와 관련된 합병증이 있었으나 모두 치유 되었다. 결론: 외측지대 유리술, 내측 강화술, 반건양근 건고정술 및 슬개건 이전술을 복합적으로 적용한 소위 “Four-in-One" 술식은 부정정렬이나 슬개골 고위증이 없고 전신적 인대 이완성과 대퇴 과간 절흔의 형성 부전이 동반된 소아에서 적용될 수 있는 만족할 만한 술식이라 사료된다. Purpose: To evaluate the clinical results of a “Four-in-One” procedure for a habitual dislocation of the patella in children with generalized ligamentous laxity and formation failure of the femoral trochlea. Materials and Methods: Five knees in 4 patients were included in this study. The average age of the patients at the time of surgery was 5.9 years and the subjects were followed up for an average of 41.6 months postoperatively. The clinical results were evaluated using the criteria of the Kujala's scoring system as well as a physical examination and radiological findings. Results: During the follow-up period, there were no recurrent dislocations, knee joint pain, limitations of motion or gait disturbances in any of the cases. The mean Kujala score was 96.8. Two cases had complications related to wound healing but they healed eventually. Conclusion: The "Four-in-One" procedure, which include the lateral retinacular release, medial vector augmentation, semitendinosus tenodesis, and patellar tendon transfer is recommended for a habitual dislocation of the patella in children with generalized ligament laxity and formation failure of the femoral trochlea.

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